Mass General Brigham
Supervisor, Medicaid Claims Reviewer
NewWhat's your preference?
Job Description
- Req#: RQ4045222
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $113,453.60 annually
- Comprehensive benefits package including career advancement opportunities and recognition programs
- Flexible remote work arrangement available from most U.S. states
- Opportunity to lead and mentor a dedicated team in healthcare claims processing
- Supportive work environment focused on professional growth and development
What to Expect (Job Responsibilities):
- Supervise and manage a team of claims reviewers to ensure accurate and timely healthcare claims processing
- Oversee claims review and analysis to ensure compliance with healthcare regulations and organizational policies
- Resolve escalated or complex claims issues, ensuring appropriate adjudication and dispute resolution
- Monitor team performance, provide feedback, and conduct regular evaluations to support professional growth
- Collaborate with billing, coding, and compliance teams to ensure adherence to regulatory and payer standards
What is Required (Qualifications):
- Bachelor's degree required (experience can be considered in lieu of degree)
- At least 3-5 years of experience in healthcare claims review or processing required
- At least 1-2 years of experience in a senior or leadership role required
- Strong knowledge of healthcare claims processes, coding (CPT, ICD-10), and payer regulations
- Excellent leadership, communication, and problem-solving skills
How to Stand Out (Preferred Qualifications):
- Certified Professional Coder (CPC) preferred
- Proficiency in claims processing software and healthcare management systems
- Strong attention to detail and the ability to manage multiple tasks and priorities
#HealthcareServices #ClaimsProcessing #LeadershipOpportunity #RemoteWork #CareerAdvancement
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.